| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154746261 | BAKER | EVERETT | VINCENT | 2410 SUSANNAH ST | JOHNSON CITY | TN | 376011748 | |
| 1902182348 | EVANS | DAVID | MICHAEL | 2410 SUSANNAH ST | JOHNSON CITY | TN | 376011748 | |
| 1891750261 | MURPHY | ALVIN | L | 2410 SUSANNAH ST | JOHNSON CITY | TN | 376011748 |